DR. CALIXTO JOSE CORNAVACA DIAZ M.D.
NPI 1326381625
General Practice in Buford, GA

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
578 S ENOTA DR NE, STE C, BUFORD, GA 30519(423) 619-8381(470) 290-8474 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 15, 2019, Feb 1, 2016 (2 updates tracked since 2016).

About Dr. Calixto Jose Cornavaca Diaz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CALIXTO JOSE CORNAVACA DIAZ M.D. (NPI 1326381625) is an individual general practice provider in Buford, Georgia, licensed in Georgia (74951) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Buford, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1326381625
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CALIXTO JOSE CORNAVACA DIAZCredential: M.D.
Location Address578 S ENOTA DR NE, STE CBuford, GA 30519-4392
Mailing Address578 S Enota Dr Ne Ste CGainesville, GA 30501-8947 · (470) 892-6607 · Fax (470) 290-8474
Fax(470) 290-8474
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 4, 2013
Last NPPES UpdateMarch 15, 20192 updates tracked since enumeration
NPI 1326381625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 74951
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
578 S ENOTA DR NE, Buford, GA 30519

Secondary Practice Location 1

Location 13615 Rolling Creek DrBuford, GA 30519-4392 · Phone (423) 619-8381

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Calixto Jose Cornavaca Diaz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517100803
PECOS Enrollment IDI20181120000668
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services31 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
44 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calixto Cornavaca Diaz's NPI number?

The NPI number for Calixto Cornavaca Diaz is 1326381625. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Calixto Cornavaca Diaz located?

Calixto Cornavaca Diaz practices at 578 S Enota Dr NE Ste C, Buford, GA 30519. The listed phone number is (423) 619-8381.

What is Calixto Cornavaca Diaz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Calixto Cornavaca Diaz enrolled in Medicare?

Yes. Calixto Cornavaca Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Calixto Cornavaca Diaz accept?

Health plans from Alliant Health Plans, Inc. list Calixto Cornavaca Diaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calixto Cornavaca Diaz was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.